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Combined Chronic Occipito-atlantal and Atlanto-axial Rotator Fixation with Cerebral Palsy
Korean Journal of Spine ; : 192-194, 2013.
Artigo em Inglês | WPRIM | ID: wpr-35258
ABSTRACT
Occipito-atlantalrotatory subluxation that occurs in conjunction with atlanto-axial rotator fixation is extremely rare. The common clinical characteristics are painful torticollis and cock robin position presented with the head tilted to one side and rotated to the other side. The object of this report is to emphasize that AARF combined with OARF may be caused by a variety of conditions, to be must need algorithm for proper management, apparently. A torticollis patient who had cerebral palsy presented with severe nuchal pain and wryneck for a long period. The patient had a history of fallen down 16 years ago which caused severe nuchal pain. The conservative management had failed to correct the deformity and instability. we decided to operate using occiput-C1-C2 arthrodesis and C3-4-5 bilateral screw fixation for reinforcement. Now he doesn't have neurologic deficit and shows good outcome enough to sustain his head, not using his hands, in his daily life.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Artrodese / Articulação Atlantoaxial / Articulação Atlantoccipital / Anormalidades Congênitas / Torcicolo / Paralisia Cerebral / Aves Canoras / Mãos / Cabeça / Manifestações Neurológicas Limite: Humanos Idioma: Inglês Revista: Korean Journal of Spine Ano de publicação: 2013 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Artrodese / Articulação Atlantoaxial / Articulação Atlantoccipital / Anormalidades Congênitas / Torcicolo / Paralisia Cerebral / Aves Canoras / Mãos / Cabeça / Manifestações Neurológicas Limite: Humanos Idioma: Inglês Revista: Korean Journal of Spine Ano de publicação: 2013 Tipo de documento: Artigo